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Reference Check
This reference is fully confidential and is for a potential Student Ministry leader. We take seriously the process by which leaders are selected (James 3:1, I Timothy 3:1-10). Your honesty is paramount.
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General Info
Info from the reference
Your first and last name
*
Your answer
Email
*
Your answer
Contact Number
*
Your answer
Title and Place of Work
*
Your answer
Gender
*
Male
Female
Prefer not to answer
Required
Full name of the applicant you are referencing
Your answer
How long have you known the applicant?
*
Your answer
1) In what context(s)?
2) How well do you know the applicant?
3) What type of reference best describes you: Family, Professional, or Personal?
*
Your answer
Reference
Please honestly evaluate the applicant on a scale of 1-5
(1 = lowest rating; 5 = highest rating).
Emotional Balance
*
In difficult times, loses control
1
2
3
4
5
Remains clear-headed in crises
Patience
*
Not good under irritation
1
2
3
4
5
Accepts difficult situations willingly
Flexibility
*
Not good with change
1
2
3
4
5
Accepts change easily
Submission
*
Problems with following authority
1
2
3
4
5
Follows authority willingly
Trustworthiness and Integrity
*
Needs supervision
1
2
3
4
5
Can be fully trusted / high character
Teamwork
*
Does not work well with others or have good team spirit
1
2
3
4
5
Works wells with others, builds up the team that is around him/her
Leading Bible Study
*
Has a weak understanding of the Bible and unable to lead others through scripture
1
2
3
4
5
Understands the Bible well, able to teach others biblical truth, and able to answer students' questions well
Capacity to work with kids
*
Low capacity with kids
1
2
3
4
5
Very strong capacity with kids
Capacity to work with youth
*
Low capacity with youth
1
2
3
4
5
Very strong capacity with youth
Do you recommend this applicant?
*
Highly Recommend
Slightly Recommend
Slightly Do Not Recommend
Do Not Recommend
Recommend but have some comments/ reservations (put below)
Required
What is the spiritual state of the applicant? Is he/she growing in relationship with God? How do you know? What fruit in their life?
*
Your answer
Does the applicant have any lifestyle choices or is involved in any activities that could draw negative attention to the church?
*
Your answer
To the best of your knowledge, has this person ever participated in, been accused or convicted of, or pleaded guilty or no contest to:
1) abuse or sexual misconduct
or
2)
a criminal offense of any kind?
*
Your answer
Do you have any other reservations with this applicant?
*
Your answer
Thank You!!!
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